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Table 3 All individual measures that were rated as the most urgent and feasible divided by clusters: Go-zone, Czech Republic, 2020

From: How to improve access to health care for Roma living in social exclusion: a concept mapping study

Cluster number Measure number Focal question: “What should be done to improve the accessibility of health care for Roma living in social exclusion?” Urgency Scale [2.9688]–[3.3548] Median = 3.1904 n = 32 Feasibility
Scale [2.5938]–[3.2813] Median = 2.8907 n = 32
   R = 0.021504217104074 Average Rating Average Rating
1 47 To clearly define the competencies and scope of organizations focusing on health promotion and health care access for the purpose of regional balance of the network of helping organizations (networking, coordination of projects) 3.09 2.97
1 55 To strengthen the level of health care and prevention in socially excluded localities through the use and training of volunteers from the community, with the subsequent opportunity to later work as a “health mediator/health assistant” 3.09 2.78
1 3 To create a platform of organizations that would advocate health support for people living in social exclusion, including Roma, and try to influence public policy in this regard 3.03 2.81
1 8 To explore the field of health needs of Roma living in social exclusion: what they need and expect from health care to set up interventions in the helping professions 3.19 3.25
1 54 To ensure the connection of clients from the target population with health care providers (strengthening their trust, lowering barriers) through health assistants and health mediators 3.19 2.78
1 63 To link health care with the social services available in a region (inform health care professionals about the offer and competencies of social services in the given locality, so that they are capable of turning to social services as needed and invite them to cooperate with patients – e.g. a medical counsellor for doctors, a social service mobile app) 3.13 2.59
2 56 Support for the sustainability and expansion of the network of “health mediators/health assistants” to all regions (fieldwork in the area of health promotion and health care access) ideally from among members of socially excluded communities with appropriate accredited training 3.00 2.63
2 59 Strengthening the health promotion agenda, including the availability of health care, in social prevention services (in the work of social workers and social services workers) with appropriate accredited training 2.97 2.84
3 18 To inform clients being listed and delisted from Labour Office records about the contexts of health and social insurance and to provide them support with a risk-free resolution of a situation 3.13 3.28
3 49 Education of clients regarding medicines without a co-payment and alternatives when picking up medicine 3.06 3.19
3 50 Education of clients on the change/loss of insurance and their obligations in the area of health care provision 3.06 3.28
3 53 To ensure increased health literacy and motivation of the target population regarding health care and adequate use of health care 3.19 2.68
4 23 To introduce regular preventive paediatric and dental care in nursery schools and primary schools 3.28 2.75
5 9 To engage medical students as field health professionals within their compulsory internship 3.34 2.91
5 58 To involve students of helping professions at universities (e.g. medical disciplines, social work, medical social care, etc.) in preventive health promotion programmes, including health care accessibility 3.06 3.03
6 43 To ensure accessible supervision in the form of lifelong learning for health professionals providing care to the target population and for “health mediators/health assistants” 2.97 2.88
6 44 Education of midwives so that they can work with new mothers in obstetrics wards; education of women after childbirth in a maternity hospital (care of the self and the new-born child) 3.16 3.13
6 57 To ensure a quality workload of training for “health mediators/ health assistants” (fieldwork in the area of health promotion, including health care access) under the sponsorship of a professional guarantor based on good practices in our country and abroad (involve organizations that are already working on it) and to ensure the possibility of exchange stays 2.97 2.97
6 60 To motivate Roma children to study health disciplines and to educate and support Roma health professionals (doctors, nurses, public health protection and support assistants, midwives, paramedics, orderlies) – subsidies for scholarship and mentoring programmes (securing a network of mentors with credit motivation for students) 3.28 2.75
6 64 To educate health care and helping professionals in postgraduate studies and continuing education (equal access and ethics, participatory and supportive – empowering approaches at work, the specifics of culturally different groups of patients and related training in communication skills of health professionals related to them) 3.35 2.94